Introducing the Supraclavicular Nerves Selective Block on the NYSORA Nerve Blocks App - NYSORA

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Introducing the Supraclavicular Nerves Selective Block on the NYSORA Nerve Blocks App

September 27, 2024

This advanced technique offers targeted analgesia for shoulder surgeries, clavicle operations, and upper anterior thoracic wall procedures, enhancing the effectiveness of brachial plexus and interpectoral plane blocks.

Technique overview

The supraclavicular nerves selective block is performed at the base of the posterior triangle of the neck, cranial to the clavicle. This technique is indicated for open shoulder surgery (in combination with a brachial plexus block), clavicle surgery, and procedures on the upper anterior thoracic wall, such as the placement of implantable electronic devices or long-term catheters, often in combination with an interpectoral plane block. 

Key points

  • Goal: Local anesthetic spread around the nerves superficial to the investing layer of the deep cervical fascia
  • Transducer: Linear
  • Needle: 25-gauge, 2.5-4 cm
  • Local anesthetic volume: 1-5 mL

Patient position: Supine with the head turned to the contralateral side to maximize exposure of the neck

Read more about the Supraclavicular Nerves Selective Block and how it can benefit your patients. Download the NYSORA Nerve Blocks App HERE to access detailed guides, high-resolution images, and expert tips for this and many other nerve block techniques.

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